Which won't help - or won't help enough.
Insurance isn't the problem. Commercial pricing that's uncapped is. Insurance is culpable (in *supporting* uncapped pricing), but they don't SET prices.
The argument that we can't regulate HC pricing is BS. We do exactly that for utilities.
Insurance isn't the problem. Commercial pricing that's uncapped is. Insurance is culpable (in *supporting* uncapped pricing), but they don't SET prices.
The argument that we can't regulate HC pricing is BS. We do exactly that for utilities.
December 25, 2025 at 7:19 PM
Which won't help - or won't help enough.
Insurance isn't the problem. Commercial pricing that's uncapped is. Insurance is culpable (in *supporting* uncapped pricing), but they don't SET prices.
The argument that we can't regulate HC pricing is BS. We do exactly that for utilities.
Insurance isn't the problem. Commercial pricing that's uncapped is. Insurance is culpable (in *supporting* uncapped pricing), but they don't SET prices.
The argument that we can't regulate HC pricing is BS. We do exactly that for utilities.
And the reality is that getting universal COVERAGE is unrelated to PUBLIC debates around healthcare policy.
Majority of Americans (57% v 40%) say "it is the responsibility of the federal government to make sure all Americans have healthcare coverage."
That fact is ignored in D.C.
Majority of Americans (57% v 40%) say "it is the responsibility of the federal government to make sure all Americans have healthcare coverage."
That fact is ignored in D.C.
December 25, 2025 at 3:57 PM
And the reality is that getting universal COVERAGE is unrelated to PUBLIC debates around healthcare policy.
Majority of Americans (57% v 40%) say "it is the responsibility of the federal government to make sure all Americans have healthcare coverage."
That fact is ignored in D.C.
Majority of Americans (57% v 40%) say "it is the responsibility of the federal government to make sure all Americans have healthcare coverage."
That fact is ignored in D.C.
Canada is just one example ... and not that recent.
More recently - China went from ~50% coverage to near universal in about 6 years [2005 to 2011}.
NB: There is no PERFECT system - but our system of tiered coverage is what makes us an outlier.
More recently - China went from ~50% coverage to near universal in about 6 years [2005 to 2011}.
NB: There is no PERFECT system - but our system of tiered coverage is what makes us an outlier.
December 25, 2025 at 5:14 AM
Canada is just one example ... and not that recent.
More recently - China went from ~50% coverage to near universal in about 6 years [2005 to 2011}.
NB: There is no PERFECT system - but our system of tiered coverage is what makes us an outlier.
More recently - China went from ~50% coverage to near universal in about 6 years [2005 to 2011}.
NB: There is no PERFECT system - but our system of tiered coverage is what makes us an outlier.
Yup. Ideas are easy, but since systemic HC reform will require sweeping changes to the tax code - we're further away from it than we've ever been (and it's been a political debate since the 1940's).
What we're left with are tweaks around the edges - which doesn't do much [incl ACA].
What we're left with are tweaks around the edges - which doesn't do much [incl ACA].
December 25, 2025 at 5:08 AM
Yup. Ideas are easy, but since systemic HC reform will require sweeping changes to the tax code - we're further away from it than we've ever been (and it's been a political debate since the 1940's).
What we're left with are tweaks around the edges - which doesn't do much [incl ACA].
What we're left with are tweaks around the edges - which doesn't do much [incl ACA].
... he's not THAT interested b/c like most billionaires - he's too far removed from the real world consequences of our Casino Healthcare.
Plus - moving fast & breaking things doesn't work so well in HC (which is all too often zero sum).
Ideas are easy. Converting those to policy? Not so much.
Plus - moving fast & breaking things doesn't work so well in HC (which is all too often zero sum).
Ideas are easy. Converting those to policy? Not so much.
December 25, 2025 at 4:48 AM
... he's not THAT interested b/c like most billionaires - he's too far removed from the real world consequences of our Casino Healthcare.
Plus - moving fast & breaking things doesn't work so well in HC (which is all too often zero sum).
Ideas are easy. Converting those to policy? Not so much.
Plus - moving fast & breaking things doesn't work so well in HC (which is all too often zero sum).
Ideas are easy. Converting those to policy? Not so much.
$200/month isn’t UBI - it's a courtesy coupon issued from 30,000 feet.
December 21, 2025 at 5:57 AM
$200/month isn’t UBI - it's a courtesy coupon issued from 30,000 feet.
"permanent security" doesn't come cheap.
"Dozens of companies have expanded armed security protection for C-suite executives, including permanent security presences, in response to the killing, said Dale Buckner [CEO Global Guardian], which provides exec protection for a wide range of industries."
"Dozens of companies have expanded armed security protection for C-suite executives, including permanent security presences, in response to the killing, said Dale Buckner [CEO Global Guardian], which provides exec protection for a wide range of industries."
December 19, 2025 at 3:09 AM
"permanent security" doesn't come cheap.
"Dozens of companies have expanded armed security protection for C-suite executives, including permanent security presences, in response to the killing, said Dale Buckner [CEO Global Guardian], which provides exec protection for a wide range of industries."
"Dozens of companies have expanded armed security protection for C-suite executives, including permanent security presences, in response to the killing, said Dale Buckner [CEO Global Guardian], which provides exec protection for a wide range of industries."
There's a lot he doesn't understand ...
... incl the fact that his @CostPlusDrugs isn't all sunshine and roses.
There are consequences to siphoning margin from generic mfg's ... namely shortages - but there are other negatives too.
... incl the fact that his @CostPlusDrugs isn't all sunshine and roses.
There are consequences to siphoning margin from generic mfg's ... namely shortages - but there are other negatives too.
December 12, 2025 at 5:46 AM
There's a lot he doesn't understand ...
... incl the fact that his @CostPlusDrugs isn't all sunshine and roses.
There are consequences to siphoning margin from generic mfg's ... namely shortages - but there are other negatives too.
... incl the fact that his @CostPlusDrugs isn't all sunshine and roses.
There are consequences to siphoning margin from generic mfg's ... namely shortages - but there are other negatives too.
He may just be trolling ...
Most of his healthcare arguments are on X - where he gets a lot more adulation and reverence as a billionaire.
FWIW: Many (incl Mark) conflate single-payer w/ universal coverage. Our problem isn't the # of payers. It's uncapped commercial pricing.
hc4.us/oneprice
Most of his healthcare arguments are on X - where he gets a lot more adulation and reverence as a billionaire.
FWIW: Many (incl Mark) conflate single-payer w/ universal coverage. Our problem isn't the # of payers. It's uncapped commercial pricing.
hc4.us/oneprice
'Single-Payer' Healthcare Isn't Necessary -- But Single Pricing Is
America can easily afford any healthcare system it chooses - except one. The one we have.
hc4.us
December 12, 2025 at 5:37 AM
He may just be trolling ...
Most of his healthcare arguments are on X - where he gets a lot more adulation and reverence as a billionaire.
FWIW: Many (incl Mark) conflate single-payer w/ universal coverage. Our problem isn't the # of payers. It's uncapped commercial pricing.
hc4.us/oneprice
Most of his healthcare arguments are on X - where he gets a lot more adulation and reverence as a billionaire.
FWIW: Many (incl Mark) conflate single-payer w/ universal coverage. Our problem isn't the # of payers. It's uncapped commercial pricing.
hc4.us/oneprice
Millions? Seriously? Still playing fantasy healthcare I see.
Pushing generics to rock-bottom cash prices is a stellar idea - right up until every mfg bails and you can’t find amoxicillin anywhere.
Pushing generics to rock-bottom cash prices is a stellar idea - right up until every mfg bails and you can’t find amoxicillin anywhere.
December 11, 2025 at 3:43 PM
Millions? Seriously? Still playing fantasy healthcare I see.
Pushing generics to rock-bottom cash prices is a stellar idea - right up until every mfg bails and you can’t find amoxicillin anywhere.
Pushing generics to rock-bottom cash prices is a stellar idea - right up until every mfg bails and you can’t find amoxicillin anywhere.
Won't work.
Industry actually PREFERS crisis mgmt b/c it:
* preserves existing profit streams
* avoids legislative fights
* gives appearance of action w/ delayed proof of efficacy
We're constantly redirecting systemic pressure into short-term fixes - which is what we've been doing for ~80yrs.
Industry actually PREFERS crisis mgmt b/c it:
* preserves existing profit streams
* avoids legislative fights
* gives appearance of action w/ delayed proof of efficacy
We're constantly redirecting systemic pressure into short-term fixes - which is what we've been doing for ~80yrs.
December 11, 2025 at 1:52 AM
Won't work.
Industry actually PREFERS crisis mgmt b/c it:
* preserves existing profit streams
* avoids legislative fights
* gives appearance of action w/ delayed proof of efficacy
We're constantly redirecting systemic pressure into short-term fixes - which is what we've been doing for ~80yrs.
Industry actually PREFERS crisis mgmt b/c it:
* preserves existing profit streams
* avoids legislative fights
* gives appearance of action w/ delayed proof of efficacy
We're constantly redirecting systemic pressure into short-term fixes - which is what we've been doing for ~80yrs.
Start w/ free #MedEd. Other countries (France) do this. Docs there graduate w/ zero debt. Make a 2-year stint in primary care mandatory.
A lot of this is thinking differently ...
A lot of this is thinking differently ...
December 11, 2025 at 1:38 AM
Start w/ free #MedEd. Other countries (France) do this. Docs there graduate w/ zero debt. Make a 2-year stint in primary care mandatory.
A lot of this is thinking differently ...
A lot of this is thinking differently ...